CDRLs.pdf
PDF 127 KB Posted
- Attached to
- UH-1N Primary Navigation Display, Sandel 3500 Federal contract opportunity
- Solicitation number
- FA8524-18-R-0020
About this file
Contract Data Requirements List
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| J_and_A_rev_1(2)_Redacted.pdf | ||
| PWS_Rev_1.pdf | ||
| QA807.pdf | ||
| WD_2015-5635.pdf | ||
| PWS_Final.pdf | ||
| DD_Form_2875_Contractor.pdf | ||
| RFP_FA852418R0020.pdf | ||
| SOW_CAVAF_CFM_V18__8Dec2014.pdf | ||
| GFPFA852418R0020_1.pdf | ||
| AFMC158.pdf | ||
| DD1653.pdf | ||
| AFMC_158_PKG_RQMT.pdf | ||
| 18-01930_PWS_Final.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).
Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Commercial Asset Visibility Air Force
3. SUBTITLE
CAV AF
4. AUTHORITY
DI-MGMT-81634C
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS par 4.3.3
6. REQUIRING OFFICE
FA8524
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See Block 16
11. AS OF DATE
See block 16
12. DATE OF FIRST
SUBMISSION
See block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Sostarich, Jonn WNAME: 30 AUG 2018DATE:
1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF Reporting Requirements document. This information will be accessed by the program office PMS and by 420 SCMS/GUNAB-Robins in order to ascertain production status.
2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 9.0.4 or higher.
The Contractor shall obtain a valid DOD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.
3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.
4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.
Block 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.)
Block 10:
a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.
b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.
Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.
Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.
Block 13: Same as remarks regarding Block 10 above.
COORDINATORS:
15. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 1 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
PREVIOUS EDITION MAY BE USED.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
GIDEP Alert/Safe-Alert Report
3. SUBTITLE
GIDEP Alert/Safe-Alert Report
4. AUTHORITY
DI-QCIC-80125B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.4.1
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.
Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under
DODAAC: FA8524
Block 10, 11, 12, 13: As required. The government will have 30 calender days to review and provide comments, subsequently the contractor will have 60 calender days to correct and resubmit.
Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.
COORDINATORS:
Email:
411 SCMS/GULAB Program Manager (PM) Provided on Contract Award
0 1 0
GIDEP
PO Box 8000 Corona, CA 92878-8000
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 2 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
GIDEP Alert Response
3. SUBTITLE
GIDEP Alert Response
4. AUTHORITY
DI-QCIC-80126B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 4.4.2
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.
Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under DODAAC: FA8524.
Block 10, 11, 12, 13: As required. The government will have 30 calender days to review and provide comments, subsequently the contractor will have 60 calendar days to correct and resubmit.
Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.
COORDINATORS:
Email:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
Provided on Contract Award
0 1 0
GIDEP
P.O BOX 8000
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 3 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Parts Approval Request
3. SUBTITLE
Parts Approval Request
4. AUTHORITY
DI-MISC-80071E
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 4.5.8
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
ASREQ
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4: Contractor format acceptable via e-mail containing the DD Form 2052 or DD Form 2053 depending upon the type of parts approval request. Data Item to be used as a guide for content. Additionally, each report shall include the following for each request: New P/N; New P/N Specification; New P/N Manufacturer; Old P/N; Old P/N Specification; Old P/N Manufacturer Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF to FA8524 Block 10, 11, 12, 13: As required, upon each occurrence where a non-standard part needs to be used, the request needs to be sent to Integrated Product Team e-mail list, as soon as the need for approval is discovered. The government will have 15 calendar days to review and provide comments, subsequently the contractor will have 15 calendar days to correct and resubmit.
Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.
COORDINATORS:
Email:
411 SCMS/GULAB Program Manager (PM) Provided on Contract award
0 1 0
0 1 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 4 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Government Property Inventory Report
3. SUBTITLE
Government Property Inventory Report
4. AUTHORITY
DI-MGMT-80441C
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 4.11
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
ANNLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4: Contractor format acceptable provided the electronic report is in the specified file type detailed in the DID. Use the DID for reference and specific report requirements.
Block 7: Submit the report via email to the IPT with DD Form 250 via WAWF for acceptance under DoDAAC: FA8524.
Block 11: One year after contract award.
Block 12& 13: The Contractor shall submit the report within 10 business days of the expiration of the basic year and annually from then on based on the date of contract award.
Block 14: IPT members names and email addresses will be provided as required.
COORDINATORS:
Email:
411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award
0 1 0
Email:
PMS Email provided on Contract Award
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 5 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
IUID Marking Plan
3. SUBTITLE
IUID Marking Plan
4. AUTHORITY
DI-MGMT-81803
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 4.3.1.1.1
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.
Block 7: Acceptance via WAWF under DODAAC: FA8524.
Block 8: The government will have 15 calender days to review and provide comments subsequently the contractor will have 15 calender days to correct and resubmit.
Block 9: Distribution statement attached.
Block 11, 12: 30 Days after contract award.
Block 13: Only if there is a revision in the IUID Marking Plan.
Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.
COORDINATORS:
Email:
411 SCMS/GULAB program Manager (PM) COR Provided on Contract Award
1 1 0
Email:
AFLCMC/WIUEC Engineer
1 1 0
Email:
AFSC/PZAAA Contracting
(PCO)
Provided on Contract Award
0 1 0
Email:
DCMA/ACO
0 1 0
2 4 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 6 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
IUID Marking Activity, Validation and Verification Report
3. SUBTITLE
IUID Marking Activity, Validation and Verification Report
4. AUTHORITY
DI-MGMT-81804
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 4.3.1.1.2
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
QRTLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.
Block 7: Acceptance via WAWF under DODAAC: FA8524.
Block 9: Distribution statement attached.
Block 10, 11, 12, 13: The IUID Marking/Verification Report shall be submitted quarterly verifying the implementation of the IUID Marking Plan. First submission shall be 45 days after contract award. The assets reported can be shipped/delivered to the DoD prior to the submittal of this report.
Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.
COORDINATORS:
Email:
AFLCMC/WIUEC Engineer
0 1 0
Email:
AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award
0 1 0
Email:
DCMA/ACO
0 1 0
Email:\411 SCMS/GULAB Program Manager (PM) COR Provided on Contract Award
0 1 0
0 4 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 7 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan
3. SUBTITLE
Counterfeit Prevention Plan
4. AUTHORITY
DI-MISC-81832
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.3.4
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4 & 5: Contractor format is acceptable. Contractor shall submit a Counterfeit Prevention Plan in accordance with type of parts being sourced.
Block 7: The Government will accept the Receiving Report through WAWF.
Contractor shall submit the Receiving Report upon final submission to DODAAC FA8524 in WAWF.
Block 8, 10-12: Contractor shall submit a Counterfeit Prevention Plan within 15 calendar days after contract award. Written Government acceptance/comments will be within 15 calendar days after receipt of data. Contractor final submission shall be submitted within 15 calendar days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.
Block 11, 13: If, during the performance of this contract, changes to the Counterfeit Prevention Plan are required, submit the revised Counterfeit Prevention Plan to the 411 SCMC/GULAB. Procedures identified for blocks 8, 10-12 will apply.
Block 14: Procurement Officer(s) e-mail along with Integrated Product Team email list will be provided as required. Electronic media shall be provided electronic media in Microsoft Office compatible format.
COORDINATORS:
Email:
411 SCMS/GULAB Program Manager (PM) Provided on Contract Award
1 1 0
Email:
AFLCMC/WIUE Engineer
1 1 0
Email:
AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award
0 1 0
Email:
DCMA/ACO
0 1 0
2 4 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 8 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
UH1N
E. CONTRACT / PR NO.
FD20601801930
F. CONTRACTOR
Sandel Avionics
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Quality Management System
3. SUBTITLE
Quality Management System
4. AUTHORITY
DI-QCIC-82184
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 5.8
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
E
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Quinn, Sharon ANAME: 29 AUG 2018DATE:
Block 4 & 5: Contractor format is acceptable. Contractor shall submit a Quality Assurance Program Plan (QAPP) in accordance with the PWS.
Block 7: The Government will accept the Receiving Report through WAWF. Contractor shall submit the Receiving Report upon final submission to DODAAC FA8524 in WAWF.
Block 8, 10-12: Contractor shall submit a QAPP within 15 calendar days after contract award. Written Government acceptance/comments will be within 15 calendar days after receipt of data.
Contractor final submission shall be submitted within 15 calendar days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.
Block 11, 13: If, during the performance of this contract, changes to the QAPP are required submit the revised QAPP to the 411 SCMC/GULAB. Procedures identified for blocks 8,10-12 will apply.
Block 14: Procurement Officer(s) e-mail along with Integrated Product Team email list will be provided as required.
Electronic media shall be provided electronic media in Microsoft Office compatible format.
COORDINATORS:
Email:
411 SCMS/GULAB Program Manager (PM) Provided on Contract Award
0 1 0
0 1 015. TOTAL
G. PREPARED BY
Quinn, Sharon A
411 SCMS / GULD
478-327-6584
H. DATE
30 AUG 2018
I. APPROVED BY
//DIGITALLY SIGNED//
STEWART.TODD.RICHARD.1071073277
411 SCMS / GULB 478-926-3258 / 468-3258
J. DATE
30 AUG 2018
Page 9 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Sep 2018
File details come from the government source that posted it.